NPI | 1386864981 |
---|---|
Doing Business As | THE REACH CORPORATION THIRD PLACE |
Entity Type | Organization |
Authorized Contact | LAILA M BEAVEN Registered Agent 270-389-1919 |
Organization Subpart ? | No |
Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities (Licence: OK 100769950A) |
Enumeration Date | 2007-04-26 |
Last Update Date | 2023-01-27 |